Pivotal Health

• Own end-to-end client operations for a portfolio of large health system and hospital clients • Work closely with implementations teams to ensure continued implementation quality • Use Metabase, BigQuery, and internal reporting tools to turn operational signal into client-facing strategy • Serve as a credible strategic counterpart to our Client Success team partners and clients • Partner cross-functionally on IDR strategy and payer compliance work • Mentor analysts on the team and contribute to playbooks

• Own a Client Success pod: Lead a team of CSMs and drive performance across a defined portfolio of accounts; retention, expansion and overall client health. • Act as an escalation point: Step into complex client situations and ensure issues are resolved quickly and effectively. • Own the voice of the customer: Synthesize feedback, patterns, and friction points across your accounts and translate that into clear insights for Product, Operations, and Sales. • Manage and develop a team: Coach CSMs on account ownership, communication, and execution, helping the team operate with greater independence and confidence. • Build and scale how we operate: Develop playbooks, glossaries, and shared frameworks so the team isn’t reinventing the wheel — creating consistency across how we manage and grow accounts. • Drive account growth and engagement: Lead strategic account planning, QBRs, and ongoing engagement across your portfolio while partnering closely with Sales to identify and advance expansion opportunities. • Drive consistency: Define what “good” looks like across account management, communication, and follow-through — and ensure the team operates against it. • Own portfolio strategy: Ensure account coverage, prioritization, and focus align to account size, complexity, and growth opportunity. • Influence the business: Work closely with Sales, Product, and Operations to ensure customer needs are reflected in how we build and deliver.

• Analyze claim information to ensure cases meet federal IDR requirements before submission. • Track deadlines and review communications from health plans, arbitration entities, and internal teams to ensure cases progress appropriately. • Update internal systems and spreadsheets to maintain accurate case records, dispute statuses, and operational metrics. • Contribute to refining workflows and documentation as the team builds more scalable dispute management processes.

• Generate pipeline: Build new relationships with health system CFOs, Revenue Cycle, and Finance leadership. • Own complex sales cycles: Progress opportunities from initial outreach through close, managing multiple stakeholders, timelines, and deal requirements. • Develop account strategy: Own account planning, identify decision-makers and champions, and align deals to customer priorities, budget, and ROI. • Partner on deal execution: Work closely with the CRO on negotiations, contracting (including redlines), and closing. • Maintain executive relationships: Build credibility with senior stakeholders and position yourself as a trusted partner. • Drive pipeline discipline: Maintain accurate pipeline tracking, forecasting, and CRM hygiene (Salesforce is our source of truth). • Support customer transition: Partner with Customer Success to ensure smooth onboarding, implementation, and identify expansion opportunities. • Improve the motion: Bring ideas to reduce sales cycle time and improve how we engage and win with health systems.

• Generate pipeline: Build new relationships with health system CFOs, Revenue Cycle, and Finance leadership. • Own complex sales cycles: Progress opportunities from initial outreach through close, managing multiple stakeholders, timelines, and deal requirements. • Develop account strategy: Own account planning, identify decision-makers and champions, and align deals to customer priorities, budget, and ROI. • Partner on deal execution: Work closely with the CRO on negotiations, contracting (including redlines), and closing. • Maintain executive relationships: Build credibility with senior stakeholders and position yourself as a trusted partner. • Drive pipeline discipline: Maintain accurate pipeline tracking, forecasting, and CRM hygiene (Salesforce is our source of truth). • Support customer transition: Partner with Customer Success to ensure smooth onboarding, implementation, and identify expansion opportunities. • Improve the motion: Bring ideas to reduce sales cycle time and improve how we engage and win with health systems.

• Help build the state arbitration function: Support the development of Pivotal’s state arbitration workflows, starting with Texas, and help establish operational processes that enable the team to scale into additional states. • Manage state negotiation workflows: Review and respond to health plan communications, evaluate settlement offers, and manage negotiation timelines to ensure disputes progress through state arbitration processes. • Create repeatable processes: Document workflows, establish operational guidelines, and improve systems that support the state arbitration program. • Support expansion into additional states: Research and operationalize processes for new state arbitration programs as the team evaluates where to expand. • Oversee day-to-day operations: Provide guidance to dispute resolution coordinators responsible for managing case workflows and ensure disputes are tracked accurately. • Bring structure to an evolving function: Help organize priorities, workflows, and team processes as the state arbitration program continues to grow. • Partner cross-functionally: Collaborate with Product, Engineering, Finance, and Customer Success to ensure state arbitration processes integrate effectively with the broader dispute lifecycle.

About Pivotal Health Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. Today, many providers face persistent underpayment from health insurance companies, despite delivering high-quality care. While processes like IDR (Independent Dispute Resolution) were designed to promote fairness, they’re often administrative-heavy, time-consuming, and difficult to navigate without the right tools. Pivotal Health combines software, data, and service into a seamlessly integrated, AI-driven platform that simplifies these complex reimbursement workflows. We help providers efficiently dispute underpaid claims, reduce administrative burden, and recover the reimbursement they’re entitled to; without adding more work to already stretched teams. Our full-service IDR solution is just the starting point. We’re building solutions that enable providers to operate with clarity, control, and confidence across the reimbursement journey. About the Role We’re looking for a Dispute Resolution Coordinator to support Pivotal’s healthcare dispute resolution workflows, including Independent Dispute Resolution (IDR) processes. In this role, you’ll help manage case submissions, track deadlines, and ensure disputes move through the process accurately across different state arbitration systems. Because each state operates under its own rules and timelines, this role requires strong attention to detail and the ability to manage structured operational workflows. You’ll work closely with internal teams and external partners to keep disputes moving forward while helping build repeatable processes as the program grows. This is a great opportunity for someone early in their career who enjoys organized, process-driven work and wants exposure to healthcare operations and reimbursement systems. What You’ll Do - Support state IDR workflows: Manage dispute submissions, documentation, and case tracking across assigned states while ensuring deadlines and requirements are met. - Monitor arbitration timelines and correspondence: Review inbound communications from health plans, arbitration entities, and internal teams to ensure cases progress through the process correctly. - Maintain operational tracking and documentation: Update internal systems and spreadsheets to maintain accurate case records, dispute statuses, and operational metrics. - Assist with dispute corrections and resubmissions: Identify submission errors or missing documentation and coordinate resubmissions to keep disputes moving forward. - Support operational cleanup work: Assist with refunds, case reconciliation, and other repeatable tasks required to maintain accurate dispute records. - Help establish repeatable workflows: As state processes evolve, contribute to documenting and improving internal workflows that help the team manage disputes more efficiently. Who You Are - 1–3 years of professional experience in an operational, administrative, or healthcare-related environment - Organized and highly detail-oriented, with the ability to follow structured processes - Comfortable working in Excel or Google Sheets to track operational workflows - Strong written communication skills when coordinating with internal teams and external partners - Able to manage multiple tasks, deadlines, and case workflows simultaneously - Dependable and consistent in executing repeatable operational processes - Quick learner who is open to feedback and comfortable adapting as workflows evolve Extra Credit Experience - Experience working in healthcare, insurance, revenue cycle management (RCM), or reimbursement operations - Familiarity with arbitration, dispute resolution, regulatory, or compliance workflows - Exposure to operational tools such as Asana, Metabase, or similar systems Why You’ll Love Working Here We’re a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers. While we primarily hire around our core hubs–Los Angeles and New York–we remain open to exceptional talent outside those regions. Remote and hybrid flexibility varies by role and team, and is outlined in each job description. If you’re excited by solving complex problems and making a real-world impact, we’d love to hear from you. Benefits Include: - Competitive compensation, including equity - Full health, dental, and vision coverage - Retirement savings plan through 401(k) - Flexible time off - Opportunities for company-wide connection and events Ready to Make an Impact? We’re building something meaningful; and we want you on the team. Bring your ideas, curiosity, and drive, and let’s transform healthcare reimbursement together. Employment Information Work Authorization Candidates must be authorized to work in the United States without current or future employer sponsorship. Equal Employment Opportunity Pivotal Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status. Reasonable Accommodations Pivotal Health provides reasonable accommodations for qualified individuals with disabilities in accordance with applicable laws. If you need assistance during the application or interview process, please let us know. Background Checks Employment is contingent upon successful completion of applicable background checks, where permitted by law. At-Will Employment Employment with Pivotal Health is at-will and may be terminated by either party at any time, with or without cause or notice, in accordance with applicable law.

About Pivotal Health Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. Today, many providers face persistent underpayment from health insurance companies, despite delivering high-quality care. While processes like IDR (Independent Dispute Resolution) were designed to promote fairness, they’re often administrative-heavy, time-consuming, and difficult to navigate without the right tools. Pivotal Health combines software, data, and service into a seamlessly integrated, AI-driven platform that simplifies these complex reimbursement workflows. We help providers efficiently dispute underpaid claims, reduce administrative burden, and recover the reimbursement they’re entitled to; without adding more work to already stretched teams. Our full-service IDR solution is just the starting point. We’re building solutions that enable providers to operate with clarity, control, and confidence across the reimbursement journey. About the Role We’re looking for a Payor Dispute Coordinator to support Pivotal’s federal healthcare dispute resolution workflows, including Independent Dispute Resolution (IDR) processes. In this role, you’ll manage dispute cases through the federal arbitration process, ensuring claims are reviewed, submitted, and tracked accurately. Federal IDR processes require strong attention to detail and analytical thinking to evaluate eligibility, documentation, and case requirements. You’ll work closely with internal teams and external partners to ensure disputes meet regulatory guidelines and progress through the arbitration process successfully. This is a great opportunity for someone with early professional experience who enjoys detail-oriented operational work and wants to develop expertise in healthcare reimbursement and regulatory processes. What You’ll Do - Manage federal IDR case workflows: Review and prepare dispute submissions, documentation, and case tracking across the federal arbitration process. - Evaluate dispute eligibility and documentation: Analyze claim information to ensure cases meet federal IDR requirements before submission. - Monitor arbitration timelines and correspondence: Track deadlines and review communications from health plans, arbitration entities, and internal teams to ensure cases progress appropriately. - Maintain operational tracking and documentation: Update internal systems and spreadsheets to maintain accurate case records, dispute statuses, and operational metrics. - Resolve submission issues and resubmissions: Identify errors or missing documentation and coordinate corrections to ensure disputes remain compliant and on schedule. - Support operational improvements: Contribute to refining workflows and documentation as the team builds more scalable dispute management processes. Who You Are - 2–4 years of experience in healthcare, insurance, reimbursement operations, or a similar regulated operational environment - Strong attention to detail with the ability to review documentation and identify inconsistencies or errors - Analytical thinker who can evaluate case information and determine eligibility or appropriate next steps - Comfortable working in Excel or Google Sheets to track cases and operational data - Able to manage multiple cases, deadlines, and regulatory timelines simultaneously - Strong written communication skills when coordinating with internal teams and external partners Extra Credit Experience - Familiarity with Independent Dispute Resolution (IDR), arbitration, or healthcare regulatory workflows - Experience working with operational tools such as Asana, Metabase, or similar systems Why You’ll Love Working Here We’re a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers. While we primarily hire around our core hubs–Los Angeles and New York–we remain open to exceptional talent outside those regions. Remote and hybrid flexibility varies by role and team, and is outlined in each job description. If you’re excited by solving complex problems and making a real-world impact, we’d love to hear from you. Benefits Include: - Competitive compensation, including equity - Full health, dental, and vision coverage - Retirement savings plan through 401(k) - Flexible time off - Opportunities for company-wide connection and events Ready to Make an Impact? We’re building something meaningful; and we want you on the team. Bring your ideas, curiosity, and drive, and let’s transform healthcare reimbursement together. Employment Information Work Authorization Candidates must be authorized to work in the United States without current or future employer sponsorship. Equal Employment Opportunity Pivotal Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status. Reasonable Accommodations Pivotal Health provides reasonable accommodations for qualified individuals with disabilities in accordance with applicable laws. If you need assistance during the application or interview process, please let us know. Background Checks Employment is contingent upon successful completion of applicable background checks, where permitted by law. At-Will Employment Employment with Pivotal Health is at-will and may be terminated by either party at any time, with or without cause or notice, in accordance with applicable law.

• Partner with Product and Engineering on regulatory strategy • Lead commercial contracting • Own the day-to-day contracting process • Help build the company’s compliance foundation • Advise internal teams on operational risk • Support corporate governance and company operations • Provide guidance on employment and internal matters • Help scale the legal function